LIBERAL MANOR INC NPI 1619041183

NPI Information

LIBERAL MANOR INC is a residential treatment facility, intellectual and/or developmental disabilities in Detroit, MI. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. LIBERAL MANOR INC NPI is 1619041183. The provider is registered as an organization entity type.

The provider's business location address is:

129 VIRGINIA PARK ST
DETROIT, MI
ZIP 48202-000
Phone: (313) 874-5404
Fax: (248) 208-0024

The provider's authorized official is Kathleen Blanche Davis .
The authorized official title is Administrator and has the following contact phone number (313) 874-5404.

The enumeration date for this NPI number is 11/17/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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